NPI Profile for ROGER L TALBOT SR in VIRGINIA BEACH, VA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI Number | 1457458895 |
|
| Status | Active | |
| Credentials | PHYSICIAN ASSISTANT | |
| Entity | Individual | |
| Enumeration date | 09/20/2006 | |
| Last updated | 04/08/2016 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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ROGER L TALBOT SR
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